| NPI | 1205043015 |
|---|---|
| Former Name | JACQUELINE ANN MORALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 018206) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |